Abstract：
Many cuffless blood pressure (BP) measuring devices are currently on the market claiming that they provide accurate BP measurements. These technologies have considerable potential to improve the awareness, treatment, and management of hypertension. However, recent guidelines by the European Society of Hypertension do not recommend cuffless devices for the diagnosis and management of hypertension.
This statement by the European Society of Hypertension Working Group on BP Monitoring and Cardiovascular Variability presents the types of cuffless BP technologies, issues in their validation, and recommendations for clinical practice.
Cuffless BP monitors constitute a wide and heterogeneous group of novel technologies and devices with different intended uses. Cuffless BP devices have specific accuracy issues, which render the established validation protocols for cuff BP devices inadequate for their validation. In 2014, the Institute of Electrical and Electronics Engineers published a standard for the validation of cuffless BP devices, and the International Organization for Standardization is currently developing another standard. The validation of cuffless devices should address issues related to the need of individual cuff calibration, the stability of measurements post calibration, the ability to track BP changes, and the implementation of machine learning technology. Clinical field investigations may also be considered and issues regarding the clinical implementation of cuffless BP readings should be investigated.
Cuffless BP devices have considerable potential for changing the diagnosis and management of hypertension. However, fundamental questions regarding their accuracy, performance, and implementation need to be carefully addressed before they can be recommended for clinical use.
This statement by the European Society of Hypertension Working Group on BP Monitoring and Cardiovascular Variability presents the types of cuffless BP technologies, issues in their validation, and recommendations for clinical practice.
Cuffless BP monitors constitute a wide and heterogeneous group of novel technologies and devices with different intended uses. Cuffless BP devices have specific accuracy issues, which render the established validation protocols for cuff BP devices inadequate for their validation. In 2014, the Institute of Electrical and Electronics Engineers published a standard for the validation of cuffless BP devices, and the International Organization for Standardization is currently developing another standard. The validation of cuffless devices should address issues related to the need of individual cuff calibration, the stability of measurements post calibration, the ability to track BP changes, and the implementation of machine learning technology. Clinical field investigations may also be considered and issues regarding the clinical implementation of cuffless BP readings should be investigated.
Cuffless BP devices have considerable potential for changing the diagnosis and management of hypertension. However, fundamental questions regarding their accuracy, performance, and implementation need to be carefully addressed before they can be recommended for clinical use.
摘要：
目前市场上有许多无袖口血压(BP)测量设备声称它们提供准确的BP测量。这些技术有很大的潜力来提高人们的意识，治疗,和高血压的管理。然而,欧洲高血压协会最近的指南不推荐用于高血压诊断和治疗的无袖口装置.
欧洲高血压协会BP监测和心血管变异性工作组的这一声明介绍了无袖口BP技术的类型，他们验证中的问题，并为临床实践提供建议。
无袖口BP监测仪构成了一组广泛且异构的新型技术和设备，具有不同的预期用途。无袖BP装置有特定的精度问题，这使得袖带血压装置的已建立的验证方案不足以进行验证。2014年，电气和电子工程师协会发布了无袖口BP设备验证标准，国际标准化组织目前正在制定另一个标准。无袖带设备的验证应解决与单个袖带校准需求相关的问题。校准后测量的稳定性，跟踪BP变化的能力，以及机器学习技术的实现。还可以考虑临床现场调查，并且应调查有关无袖BP读数的临床实施的问题。
无袖口BP装置在改变高血压的诊断和管理方面具有相当大的潜力。然而,关于它们准确性的基本问题，性能，和实施需要仔细解决，然后才能推荐用于临床。
欧洲高血压协会BP监测和心血管变异性工作组的这一声明介绍了无袖口BP技术的类型，他们验证中的问题，并为临床实践提供建议。
无袖口BP监测仪构成了一组广泛且异构的新型技术和设备，具有不同的预期用途。无袖BP装置有特定的精度问题，这使得袖带血压装置的已建立的验证方案不足以进行验证。2014年，电气和电子工程师协会发布了无袖口BP设备验证标准，国际标准化组织目前正在制定另一个标准。无袖带设备的验证应解决与单个袖带校准需求相关的问题。校准后测量的稳定性，跟踪BP变化的能力，以及机器学习技术的实现。还可以考虑临床现场调查，并且应调查有关无袖BP读数的临床实施的问题。
无袖口BP装置在改变高血压的诊断和管理方面具有相当大的潜力。然而,关于它们准确性的基本问题，性能，和实施需要仔细解决，然后才能推荐用于临床。
